Jason B Reina (NPI# 1548236391, PAC ID# 1951318955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1548236391 |
| PAC ID by PECOS | 1951318955 |
| Professional Enrollment ID | I20060316000180 |
| Full Name | Jason B Reina |
| Organization Legal Name | NORTHLAKE GASTROENTEROLOGY |
| Address |
16061 Doctors Blvd B Hammond LA 70403-1499 |
| Phone Number | 9855421334 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1999 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 9234197419 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190015 | NORTH OAKS MEDICAL CENTER, L L C |
| 190176 | TULANE MEDICAL CENTER |
| 190045 | ST TAMMANY PARISH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7015 Hwy 190 E Service Rd, Suite 102, Covington, LA 70433-4960 | 9855421334 | NORTHLAKE GASTROENTEROLOGY |
| 16061 Doctors Blvd B, Hammond, LA 70403-1499 | 9855421334 | NORTHLAKE GASTROENTEROLOGY |
| Organization Legal Name | NORTHLAKE GASTROENTEROLOGY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Mark Mula | Gastroenterology | Northlake Gastroenterology | 16061 Doctors Blvd B, Hammond, LA 70403-1499 |
| Russell Wardlaw | Gastroenterology | Northlake Gastroenterology | 7015 Hwy 190 E Service Rd, Suite 102, Covington, LA 70433-4960 |
| Dennis J. Booth Jr. | Gastroenterology | Northlake Gastroenterology | 16061 Doctors Blvd B, Hammond, LA 70403-1499 |
| Lawrence L Gensler | Gastroenterology | Northlake Gastroenterology | 7015 Hwy 190 E Service Rd, Suite 102, Covington, LA 70433-4960 |
| Street Address |
16061 DOCTORS BLVD B |
| City | HAMMOND |
| State | LA |
| Zip | 70403-1499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Mark Mula | Gastroenterology | Northlake Gastroenterology | 16061 Doctors Blvd B, Hammond, LA 70403-1499 |
| Dennis J. Booth Jr. | Gastroenterology | Northlake Gastroenterology | 16061 Doctors Blvd B, Hammond, LA 70403-1499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sousan L Zadeh | Nephrology | Internal Medicine Clinic of Tangipahoa, LLC | 42388 Pelican Professional Park, Hammond, LA 70403-0001 |
| Scott Picou | Family Medicine | Internal Medicine Clinic of Tangipahoa, LLC | 42388 Pelican Professional Park, Hammond, LA 70403-0001 |
| Mark Drummond | Nurse Practitioner | Internal Medicine Clinic of Tangipahoa, LLC | 42388 Pelican Professional Park, Hammond, LA 70403-0001 |
| D. Drummond | Internal Medicine | Internal Medicine Clinic of Tangipahoa, LLC | 42388 Pelican Professional Park, Hammond, LA 70403-0001 |
| Tara S Alston | Nurse Practitioner | Neuroscience and Pain Institute LLC | 19184 Dr John Lambert Dr, Hammond, LA 70403-0935 |
| Alanna Marie Fyalkowski | Physical Therapy | Jones Haber LLC | 19184 Dr John Lambert Dr, Hammond, LA 70403-0935 |
| Mason Porter | Physical Therapy | Jones Haber LLC | 19184 Dr John Lambert Dr, Hammond, LA 70403-0935 |
| Daniel Burst | Physician Assistant | Diagnostic and Interventional Spinal Care of Louisiana | 19184 Dr John Lambert Dr, Suite 103, Hammond, LA 70403-0936 |
| Jeremy R James | Orthopedic Surgery | Diagnostic and Interventional Spinal Care of Louisiana | 19184 Dr John Lambert Dr, Suite 103, Hammond, LA 70403-0936 |
| Khader S Shamieh | Orthopedic Surgery | Diagnostic and Interventional Spinal Care of Louisiana | 19184 Dr John Lambert Dr, Suite 103, Hammond, LA 70403-0936 |
| Find all physicians in zip 70403 | |||
| City | HAMMOND |
| Zip Code | 70403 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | HAMMOND + GASTROENTEROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.